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International Journal of AYUSH; 2020: 9 (4); 181-193 181 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA Original Research Article Volume 9 Issue 4 Oct Dec 2020 ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA (SIMPLE MYOPIA) Divya Stuvert 1 and Ashwini.M.J 2 1. Associate Professor, Department of Shalakya Tantra, S.D.M Institute of Ayurveda and Hospital, Bangalore, [email protected] , Ph:9481028050 2. Professor and Head, Department of Shalakya Tantra, S.D.M college of Ayurveda and Hospital, Hassan, [email protected] , Ph: 9448222694 Abstract Myopia, commonly referred to as short sightedness is the most common eye disease in the world with substantial social, educational, and economic impact. Poor vision for distance - short-sightedness is the main symptom of myopia. Timira is one among Dristhigata Rogas, which starts from Avyakta Darshana and ends in complete loss of vision Linganasha. Abhijita Taila Nasya helps in clearing the eyesight and alleviates Timira. This Taila has been suggested by the great Sage Nimi in Timira stating that it restores vision even to the blind. Therefore this study was planned to evaluate the effect of Abhijita Taila Nasya in Prathama Patalagata Timira with special reference to Simple Myopia. Key Words: Timira, Nasya, Prathama Patala, Myopia, Taila.

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International Journal of AYUSH; 2020: 9 (4); 181-193

181 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Original Research Article Volume 9 Issue 4 Oct – Dec 2020

ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA

PATALAGATA TIMIRA (SIMPLE MYOPIA)

Divya Stuvert1 and Ashwini.M.J2

1. Associate Professor, Department of Shalakya Tantra, S.D.M Institute of Ayurveda

and Hospital, Bangalore, [email protected], Ph:9481028050

2. Professor and Head, Department of Shalakya Tantra, S.D.M college of Ayurveda and

Hospital, Hassan, [email protected], Ph: 9448222694

Abstract

Myopia, commonly referred to as short sightedness is the most common eye disease

in the world with substantial social, educational, and economic impact. Poor vision for

distance - short-sightedness is the main symptom of myopia. Timira is one among

Dristhigata Rogas, which starts from Avyakta Darshana and ends in complete loss of vision

Linganasha. Abhijita Taila Nasya helps in clearing the eyesight and alleviates Timira. This

Taila has been suggested by the great Sage Nimi in Timira stating that it restores vision

even to the blind. Therefore this study was planned to evaluate the effect of Abhijita Taila

Nasya in Prathama Patalagata Timira with special reference to Simple Myopia.

Key Words: Timira, Nasya, Prathama Patala, Myopia, Taila.

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182 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Introduction

Myopia or short sightedness is a type of refractive error in which parallel rays of light

coming from infinity are focused in front of the retina when accommodation is at rest. 1 The

World Health Organization has grouped Myopia and uncorrected refractive error, cataract,

macular degeneration, infectious diseases and vitamin A deficiency as the leading causes of

blindness and vision impairment in the world. The prevalence of Myopia varies with age

and other factors. In India prevalence of Myopia in general population has been reported to

be only 6.9%. The prevalence has increased in rural India from 4.6% in 1980–2008 to 6.8%

in 2009–2019, compared to a change from 7.9% to 8.9% in urban India during the same

period. Our results show that there is an increasing trend of myopia in India over the last

four decades2.

Ayurveda has identified three important factors viz Asatmya Indriyartha Samyoga,

Pragnyaparadha, and Rituviparyaya being responsible for the causation of all types of

diseases, which includes ophthalmic problem too3. To overcome these three factors

Acharyas mentioned specific Aahara, Oushadha, and Viharas. In Ayurvedic classics we find

the concept of Chakshushya & many food items, drugs and therapeutic procedures are

explained which are said to improve or enhance the visual acuity as well as improve the

health of the eye. Clinical features related to visual disturbances are seen only in

Drishtigata Rogas. Hence all cases of visual disturbances can be correlated under the broad

heading of Timira – Kacha - Linganasha complex. The part of clinical feature of Timira (First

& Second Patala) can be correlated with most important refractive error i.e. Myopia.

According to Vagbhatta, all efforts should be made to strengthen the eyes by

resorting to Nasya, Anjana, Tarpana etc. for once the vision is lost the different kinds of

things of the world will all become of one kind- that of darkness. Good numbers of Nasya

Yogas are described for Timira because nose is the gateway of drug administration in

Urdhwajatrugata rogas. Nasya is the only procedure which directly influences all Indriyas.

Abhijit Taila is indicated in Timira as Nasya which is quoted by Chakradatta. Considering

the above factors the present study was planned to evaluate the effect of Abhijita Taila

Nasya in Prathama Patalagata Timira (simple Myopia).

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183 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Ayurvedic Review on Timira

The clinical features of Timira are based on involvement of Patalas & vitiation of

Doshas. So the treatment of the Timira depends upon the stage and dominance of particular

Doshas. For which Local & systemic management has described by Acharyas.

Clinical features related to visual disturbances are seeing only in Drishtigata Rogas.

Hence all cases of visual disturbances can be correlated under the broad heading of Timira -

Kacha - Linganasha complex. The clinical feature of Timira (Prathama Patala) can be

correlated with most important refractive error i.e. Myopia. The only symptom produced

when the Doshas are vitiated in the first Patala is Avyakta Darshana4. The patient is not able

to appreciate the exact nature of the object and there is slight blurring of vision. Only one

clinical feature of the Prathama Patala has been described by Acharya Vagbhatta explains

blurred/indistinct vision, which becomes clear sometimes without any reason.

The progress of the disease Timira has been mentioned in terms of involvement of

successive Patalas5. When the vitiated Doshas invade first Patala, the patient complains of

difficulty in seeing objects distinctly. This is the common complaint of myopia,

hypermetropia, astigmatism and presbyopia. So the Timira of first Patala can be correlated

to refractive errors.

Timira is a disease when the vitiated Doshas are situated in the first and second Patala only.

The disease progresses to Kacha and Linganasha when the Doshas involve third and fourth

Patala respectively. The clinical picture of vitiated Doshas in first and second Patalas, which

are analyzed here, simulates very much with refractive errors including Myopia. Therefore

Prathama Patalagata Timira has been correlated with symptoms of Myopia.

Timira is easily curable when the Doshas are limited to first and second Patala; it

gets the stage of chronicity and becomes Yapya by the Dushti of third Patala. Timira attains

the incurability when the Doshas reach fourth Patala wherein surgical intervention is

advocated in case of Kaphaja Linganasha. Therefore Prathama Patalagata Timira has been

taken for study which is Sadhya Vyadhi6.

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184 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

CHIKITSA OF TIMIRA

Oleation, Blood Letting, Virechana, Nasya, Anjana, Murdha Basti, Basti, Tarpana, Lepa and

Seka – these therapies administered many times, suitable to the Doshas is the mode of

treatment7. The treatment of the Timira depends upon the stage and dominance of

particular Dosha. In early stage of Timira, when the symptoms of the vitiated Doshas have

just manifested but have not involved the whole eye, these should be treated by Anjana,

Nasya and other purification measures.

Karmukata of Nasya

Acharya Vagbhata has stated “nasa hi shirasodwaram” ie. Nose is the easiest and

nearest opening to convey the potency of medicines to the cranial cavity. He was the first

person to narrate the mode of action of drugs by Nasya Karma. The drugs administered

reach the Shringataka Marma and spread through the opening of Shiras, eye, ear, throat etc.

and to the head. 8 The Sleshmala Kala of the Nasa extending from Nasaguha to Gala

Pradesha is highly vascular. It has a good absorbing surface, due to its high vascularity the

drug is mainly absorbed through capillaries. These capillaries join to the venules, which

anatomise each other to form plexus masked over the middle and inferior conchi. Some of

these venules open into sphenopalatine veins, others join facial vein. Some end in

ophthalmic vein and few communicate with the Shiras and thus are drained into the

systemic circulation. Blood brain barriers are highly permeable for lipid substances and so

the Sneha Dravyas are easily absorbed and these substances pass and exert their actions.

Lipids provide energy to the nervous tissue. It is cost effective, safe, quick, acting, very easy

to administrate, still definitely efficacious in maintaining health.

Mechanism of production of Myopia: Axial Myopia results from increase in anterio –

posterior length of the eyeball. It is the commonest form. Curvatural Myopia occurs due to

increased curvature of the cornea, lens or both. Index Myopia results from the increase in

the refractive index of crystalline lens associated with nuclear sclerosis. Positional Myopia

is produced by anterior placement of crystalline lens in the eye. Myopia due to excessive

accommodation occurs in patients with spasm of accommodation. 9

Signs & Symptoms of Myopia:

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185 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Poor vision for distance (short-sightedness) is the main symptom of myopia. Asthenopic

symptoms may occur in patients with small degree of myopia. Half shutting of the eyes may

be complained by parents of the child. The child does so to achieve the greater clarity of

stenopaeic vision. The myopic eyes typically are large and somewhat prominent. Anterior

chamber is slightly deeper than normal. Pupils are somewhat large and a bit sluggishly

reacting. Fundus is normal; rarely temporal myopic crescent may be seen. Simple myopia

usually occurs between 5 and 10 years of age and it keeps on increasing till about 18–20

years of age at a rate of about –0.5 ± 0.30 every year. In simple myopia, usually the error is

low to moderate that usually does not exceed –6D. People with Myopia can be classified

those with low to moderate Myopia (referred to as "simple" or "school" Myopia, 0 to -6

Dioptres) and those with high or pathological Myopia (greater than -6 Dioptres). 10

Drug Review

Abhijita Taila: Abhijita Taila Nasya helps in clearing the eyesight and alleviates Timira. 11

This Taila has been suggested by the great Sage Nimi in Timira stating that it restores

vision even to the blind. 12 So the Study has been selected for Nasya purpose as Abhijita

Taila is indicated in Timira for Nasya Karma.

Detailed description of each drug of Abhijita-Taila:

(1) Amalaki - Botanical name is Emblica officinalis and family is Euphorbiaceae. Synonyms

are Vayasya, Vrishya, Dhatriphala, Amalaka, Amritaphala, and Tishyaphal. Classification is of

drug Kushtaghna, Virechanopaga, Kasahara, Jvarahara, Vayahsthapana (Ch). Parushakadi,

Mustadi, Triphala, Amalakyadi (Su). Rasa is Pancha Rasa (Alavana), Gunas are Guru, Ruksha,

Sheeta, Veerya is Sheeta and Vipaka is Madhura. Doshaghnata is Tridosha Shamaka. Karma

is Chakshushya, Rasayana, Dahaprashamana, Vrishya and Vajikara. Chemical constituents

are Vitamin-C, Carotene, Nicotinic acid, D-fructose, myoinositol and D-galacturonic acid.

Pharmacological actions are immunomodulator, anti-inflammatory, antimicrobial, and

antioxidant. (Database, Vol-3)

(2) Yashtimadhu - Botanical name is Glycyrrhiza glabra and Family is Fabaceae. Synonyms

are Yashtimadhu, Yashti, Madhuyashtika, Madhuka, Kleetaka, Yashtyahva. A part used is

root. Rasa is Madhura, Guna are Guru, Snigdha. Veerya is Sheeta and Vipaka is Madhura.

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186 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Doshaghnata is Vatapittashamaka and Rogaghnata in Netraroga, Vranashotha, Khalitya.

Karmas are Chakshushya, Dahashamaka, Keshya, Vedanasthapana, Medhya, Mridurechana,

Jeevaniya, Rasayana, Balya. Chemical Constituents are Glycyrrhizine, Prenylated Biaurone,

Licoagrone, Quercetin, Kaempferol. Pharmacological activities are Smooth muscle

depressant, antimicrobial and anti-oxidant. (Database, Vol-3)

(3) Tila taila - Botanical name is Sesamum indicum and Family is Pedaliaceae. Part used

are seed oil. Rasa is Madhura and Gunas are Guru, Snigdha, Sukshma, Vyavayi, Vishada. Virya

is Ushna and Vipaka is Madhura. Doshaghnata is Vata -Kapha Shamaka. Rogaghnata are

Vatarogahara, Balya, Brimhana, Vishodhaka, Twachya, Keshya, Vedana Stapana. Karma is

Balya, Sthairyakara, Brimhana, Deepana, Shula Prashamana, Bastikarmartha- Pathya and

Srotoshodhaka. Chemical composition is saturated fatty acid is Palmitic acid: 7.8 - 9.4%.

Unsaturated fatty acids are Linoleic acid: 37 – 48%, Oleic acid: 35 – 49%, Lignans,

Sesamolin, Sesamol, Sesamolin, betasitosterol, and phospholipids. Pharmacodynamics: Its

high stability makes it a desirable vehicle for medicine. Tila is a good source of proteins,

carbohydrates, calcium, phosphorous, Vitamin A, B and C and it also contains sisamin and

sisamal.

(4) Go-Dugdha - Rasa is Madhura, Gunas are Guru and Snigdha. Virya is Sheeta, Vipaka is

Madhura and Doshaghnata is Vata-Pitta Shamaka. Karmas are Balya, Brimhana, Rasayana,

Sandhanakara, Asthapana, Vayah- sthpana, Ojovardhaka and Jivaniya.Composition of milk:

Water : 87.3%, Milk fat : 3.9% , Solids- not fat : 8.8% ,Protein : 3.25% , Lactose : 4.6% ,

Minerals : 0.65% - Ca, P, Mg, K, Na, Zn, CO, Vitamins : A, C, D, thiamine and riboflavin.

Materials and Methods: To evaluate the effect of Abhijita Taila Nasya in simple myopia. To

evaluate the effect of Murcchita Tila Taila Nasya in simle myopia. To compare the effects of

the above two groups to enhance the quantum of relief to the patients of Prathama

Patalagata Timira (simple Myopia).

Source of Data: The patients with signs and symptoms of Prathama Patalagata Timira

were selected from OPD and IPD of Shalakya Tantra department of S. D. M. College of

Ayurveda, Hassan. The patients were examined in detail as per special Performa which

includes both Ayurvedic and modern methods of examination of patients. They were

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187 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

further subjected to criteria of inclusion and exclusion and other investigations to reach the

final diagnosis.

Criteria for Diagnosis: Based on the chief complaints i.e distant blurred vision- Snellen’s

chart reading, Near vision chart reading, Retinoscopy, Slit lamp examination to rule out any

diseases in anterior chamber, Fundus examination with cycloplegic agents to exclude

retinal and macular diseases were done.

Inclusion Criteria: Patients having -0.25D to -5D of vision were taken for study. Patients

aged between 8 to 40 years. Those fit for Nasya. Exclusion Criteria: Dwitiya, Trutiya and

Chaturtha Patalagata Timira, high myopia or progressive myopia, congenital myopia,

myopia with systemic diseases like T.B., Hypertension and diabetics. Myopic patients more

than -5D of vision, hypermetropia and presbyopia

Laboratory Investigation: Blood routine and random blood sugar was done.

Sampling method and Research Design: 40 Patients were randomly selected on the basis

of signs and symptoms of Prathama Patalagata Timira and Myopia. They were grouped

into the following two groups, each comprising of 20 patients. The 20 patients of this group

were administered with 8 drops of Abhijita Taila in each nostril for 7 days once in the

morning in empty stomach. The 20 patients of this group were administered with 8 drops

of Murcchita Tila Taila in each nostril for 7 days once in the morning in empty stomach.

Both the groups were followed for a period of two months with an interval of fifteen days

after completion of treatment.

Method of preparation Abhijita Taila: One litre of Murcchita Tila Taila is taken. To this

250gms of Kalka of Yastimadhu and two litres each of Amalaki Swarasa and Go Ksheera is

added. Oil is prepared as per Taila Paka Vidhi.

Method of preparation Murcchita Tila Taila: Manjistha 125gm, Haridra 30gm, Lodhra

30gm, Musta 30gm, Amalaki 30 gm, Haritaki 30gm, Bibhitaki 30gm, Tila Taila 2 litres, water

8 litres. Two litres of Tila Taila is heated over Mandagni till the foam and sound is subsided.

Then above mentioned drugs are made into Kalka and 8 litres of water is added and heated

till the Taila Siddha Lakshanas are seen. 13

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188 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Observation: Total 21 patients were registered in group A, among them 20 patients

completed the treatment and 01 patients was drop out. In group B, 20 patients completed

the treatment with 01 drop out, out of 21 registered patients. Hence, the total number of

patients registered in the present study was 42, so observation of 42 patients and results of

40 patients are given. It was found that maximum number of patients i.e. 38.09% belonged

to age group of 21-25 years, followed by 33.3 % patients belonged to 16-20 years &21.42

% belong to 26-30 age group and 7.14 % patients belonged to 31-35 years of age group.

Lastly 2.38% belong to 10-15 years. Out of 42 cases of this series 71.42% were females and

28.57% were males. Religion wise distribution of patients showed that maximum of 73.8%

were Hindus followed by 23.8 % were Christian, 2.38% were Jain. Socio-economic status

wise distribution of patients showed that maximum of 57.14% belonged to middle class,

and 38.09 % belonged to upper- middle class, and 16.6% belonged to lower -middle class

and 4.76% belonged to rich. Habitat wise distribution of patients showed that maximum of

61.9 % were residing in urban area followed and 38.09 % patients were residing in Rural

area. Amongst 42 patients, maximum i.e. 71.42 % patients were educated up to graduate

level, 19.04% patients were post-graduate, 7.14 % patients were higher secondary

education level.2.38 % were secondary education level. On considering the nature of

occupation, it was found that maximum i.e. 92.85% patients were from student category,

while 4.76 % were doing service and 2.38% were labour. None of the patients were farmer

& in other category). 35.71% of patients have maternal and paternal family history and

23.81% of patients had maternal family history and 23.81% of patients had no family

history and 16.6% had paternal significant. Maximum i.e. 42.85 % patients each were found

to be addicted to tea and 19.04% patients were addicted to coffee and 33.3% patients were

not having any addiction. Agni wise distribution of patients indicates that most of the

patients i.e.57.14 % were of Madhyamagni, 26.19 % of patients were of Teekshanagni and

16.6 % were of Mandhagni. In this study majority of the patients i.e. 64.28% had sound

sleep while rest of the 35.71 % patients had disturbed sleep. In this study 40.47% of

patients had a habit of reading for 5-6 hours, followed by 26.19% of patients had a habit of

3-4 hours reading, and 26.19% of patients for 1-2 hours of reading. In this study 88% of

patients had gradual duration, followed by 11.9 % of sudden duration and none of them

had insidious onset. 28.57% of patients had Chronicity for 1-2 years, followed by 26.19%

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189 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

of 3 – 5 years, 16.6 % of 6-8 years, followed by 9.52% of 9 – 11 years and 9.52% of

patients had less than one year. In this series 35.7% patients were of Vata- Pittaja Prakriti,

followed by 33.3% patients were of Vata- Kaphaja Prakriti and 30.09% patients were of

Pitta Kaphaja Prakriti. Aharaja Nidana wise distribution have shown 80% of patients

taking excess of Amla Pradhana Aahara, followed by 71.19% of patients have a habit of

consuming excess of lavana Aahara, and 57.14% of patients have a habit of taking excess of

Teekshna Aahara, and 45.23% of patients have a habit of consuming excess of Ushna

Aahara in their routine life. Manasika Nidana wise distribution have shown 47.62% of

patients were reported to indulged in Krodha, 45.2% of patients suffered from Shoka,

38.09% of patients indulged in Rodana. Viharaja Nidana wise distribution have shown 75%

of patients have a habit of excessive gazing at near objects, followed by 52.3% of

Ratrijagarana ,45.2 % of patients have a habit of exposure to hot, 19% of Diwaswapna and

16.6 % of patients have a habit of excessive exposure to hot and 9.52% of patients have

Vegadharana. Symptom wise distribution have shown that all 100% of patients have

Avyakta Darshana, followed by 80.93% had headache, 88.1% had eye strain and 45.24%

had watering from eye. 80.93% of patients had visual acuity between 6/6 to 6/9, followed

by 40.47% of 6/12 to 6/18, 40.47% of 6/24 to 6/36 and 40.47 % of patients had 6/60 and

less visual acuity.

Results

Avyakta Darshana: It was found that the mean score of Avyakta Darshana from 2.1 to 1.4,

with 33.33 % mean reduction in ATN Group which is statistically highly significant as the

‘p’ value is <0.001, While MTTN Group showed a mean reduction of 27.02 % in Avyakta

Darshana which was statistically significant with the ‘p’value <0.01. Head ache: Mean

score of headache is reduced from 1.6 to 0.75, with 57.57% of mean reduction in ATN

Group, which is statistically significant at the level of ‘p’ < 0.001; where as in MTTN Group

is statistically significant with 54.5% of mean reduction in head ache showing the ‘p’ value

< 0.001. Eye strain: It was found that the Mean score of eye strain reduced from 2.0 to

0.75; with mean reduction of 37.5% in ATN Group which is statistically significant as the ‘p’

value is < 0.001, While MTTN Group showed a mean reduction of 33.33% in eye strain and

was statistically significant with the ‘p’ value <0.001. Watering of eyes: It was found that

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190 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

the mean score of watering of eyes reduced from 1.0 to 0.7, with a mean reduction70% in

ATN Group which is statistically significant with a ‘p’ value <0.001, While in MTTN Group

50% of mean reduction in watering of eyes showed which is statistically significant with a

‘p’ value <0.02. Visual acuity of eye: The mean score of visual acuity in right eye reduced

from 3.5 to 2.9, with a mean reduction of 18.30 % in ATN Group which is statistically

significant, as the ‘p’ value is <0.001,While in MTTN Group 13.55 % of mean reduction in

visual acuity by Snellen’s reading which is statistically significant as the ‘p’ value is <0.01

.Visual Acuity of eye with refractive aid: The mean score of visual acuity in right eye with

refractive aid reduced from 2.45 to 2.15 with a mean reduction of 12.24% in ATN Group

which is statistically significant, at the ‘p’ value <0.02,While in MTTN Group it is reduced

from 1.85 to 1.65 with a mean reduction of 10.81% of mean reduction in visual acuity by

Snellen’s reading, which is also statistically significant, at the ‘p’ value < 0.05. Auto

refractometer reading of eye: The mean score of Auto refractometer reading in right eye

is 2.45 to 2.3 with 6.12% reduction in ATN Group which is statistically insignificant, as the

‘p’ value is >0.05, Whereas MTTN Group showed mean score reduced from 1.85 to 1.75,

with 5.4 % of mean reduction in Auto refractometer reading which is also statistically

insignificant, as the ‘p’ value is >0.05

Overall Effect of Therapies: In Abhijita group, 9 patient’s ( 42.8% )showed mild changes

and 8 patient’s ( 38.1%) showed moderate improvement and 3 patient’s ( 14.28%) showed

unchanged, and marked improvement and complete relief was not observed in any patients

among 20 patients. In Murcchita Tila Taila Nasya Group, 11 patients ( 52.38%) showed

mild improvement, 5 patient’s ( 23.81%) showed moderate improvement and 4 patients

(19.04 %) showed unchanged and marked improvement and complete relief was not

observed in any patients among 20 patients. No patient included in the study had

deterioration in symptoms.

Discussion: Simple Myopia affects an accountably large section of the population and

involves very young eyes leading to the defective distant vision and has to wear refractive

aids or should satisfy with limited visual field works. No remedial measures for the

prevention and care of this pathology prevails in the domain of modern ophthalmology;

opening the door to the other systems of medicine to suggest, experiment and contribute

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191 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

the drugs to alleviate or to check the deterioration. Avyakta Darshana or blurring of vision

for distance is a symptom produced due to affliction of first Patala which occurs in Myopia

of low degree. All the patients involved in the present study were between the ages of 8 –

40 years. Majority of the patients (38.09%) belonged to age group of 21-25 years; followed

by 33.3 % patients belonged to 16-20. It is a significant observation that the disease

manifests in teenagers. It is also a proven fact that simple Myopia usually begins in

childhood. Since the eyes continue to grow during childhood, Myopia almost always occurs

before the age of 20 and then gets stable in adulthood. Majority of the patients involved in

this clinical study (92.85%) were students followed by 4.76 % service persons and 2.38%

were labour. This is a significant finding because simple Myopia is prevalent in adolescent

age group. It usually commences at around the age of 5 or 6, begins to increase rapidly

reaching maximum rate of increase at about the age of 13 and reduces its rate until late

teens when it usually stabilizes. This study shows Nasya has an important role to arrest the

progress of refractive error, headache in Myopia, eye strain and Durastha Avyakta

Darshana in both the groups. Abhijita Taila Nasya provided highly significant at P <0.001

relief of 18% in visual acuity, while Murcchita Tila Taila Nasya provided 14% which was

highly significant at P <0.01. Nasya with Abhijita Taila is more effective than Murcchita Tila

Taila in improving Dioptric power. The comparison of the results of both the groups

showed that Abhijita Tila Nasya provided statistically better effect in comparison to

Murcchita Tila Taila Nasya Group in all the signs and symptoms.

Probable mode of action of Abhijita Taila Nasya in Timira: The disease Timira is

Tridoshaja and so compound drug employed should also have Tridoshaghna qualities, so

that it can counteract vitiated Doshas to disintegrate the pathophysiology of the disease. In

this study, Abhijita Taila was used for the Nasya Karma. Clinical feature of Timira, Kacha,

Linganasha complex can be correlated with Myopia and its complications, the most

important refractive error. In Abhijita Taila, Tila taila is used as a media or vehicle & by

virtue of properties like Vyavayi, Sukshma, Sara, it can reach to every minute channel.

Administration of drug through nose will stimulate the Shringataka Marma. Spread of

Drugs to deeper structure of eye. Through Roopavaha Siras take place. Abhijita Taila which

is having Chakshushya property activates Chakshurvisheshika Alochaka Pitta and

Buddirvisheshika Alochaka Pitta. This will increase power of Drishti Nadi (optic nerve) and

International Journal of AYUSH; 2020: 9 (4); 181-193

192 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA

Activation of Visual Centre in Brain (Occipital Lobe) which helps in overall improvement in

visual status of myopia.

Conclusion: Myopia, a form of refractive error, is a highly significant problem which

prevents the individual from seeing distant objects clearly. Nasya is an effective procedure

for Timira and provides Vatashamaka properties and nourishment to the eyes and

improves visual acuity. In the present study, Abhijitha Taila Nasya was taken to evaluate

the effect in Myopia. In Abhijita Taila Nasya group, complete remission and marked relief

was not observed in any patient (0.00%), 9 patient’s ( 42.8% )showed mild changes and 8

patient’s ( 38.1%) showed moderate improvement and 3 patient’s ( 14.28%) showed

unchanged, among 20 patients. In Murcchita Tila Taila Nasya Group, complete remission

and marked relief was not observed in any patient (0.00%), 11 patients ( 52.38%) showed

mild improvement, 5 patient’s ( 23.81%) showed moderate improvement and 4 patients

(19.04 %) showed unchanged among 20 patients. No patient included in the study had

deterioration in symptoms. Abhijita Taila Nasya can be used in Pratimarsha Nasya for long

run in all Refractive error, Headache, Netrayasa, Netrasrava. Since the study has shown

interesting results, it is recommended that the study should be carried out in large number

of patients with longer duration to evaluate and analyze the results.

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